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Simulated activity but real trauma: a systematic review on Nintendo Wii injuries based on a case report of an acute anterior cruciate ligament rupture.

Müller SA, Vavken P, Pagenstert G - Medicine (Baltimore) (2015)

Bottom Line: The type and treatment of injury as well as the Wii-based rehabilitation programs found were analyzed.Additionally, a new case of an acute ACL tear-sustained playing, Wii boxing, is additionally presented.Motion-controlled video games, such as Wii, are becoming increasingly popular as a recreational entertainment.

View Article: PubMed Central - PubMed

Affiliation: From the Department of Orthopedic Surgery (SAM, PV, GP), University of Basel, Basel, Switzerland; and Division of Sports Medicine (PV), Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

ABSTRACT
Video gaming injuries are classically regarded as eccentric accidents and novelty diagnoses. A case of an anterior cruciate ligament (ACL) tear sustained during Wii boxing spurned us to review the literature for other Wii-related injuries and Wii-based posttraumatic rehabilitation. The English literature listed in PubMed was systematically reviewed by searching for "Wii (trauma or injury or fracture)." Full-text articles were included after duplicate, blinded review. The type and treatment of injury as well as the Wii-based rehabilitation programs found were analyzed. Additionally, a new case of an acute ACL tear-sustained playing, Wii boxing, is additionally presented. After exclusion of irrelevant articles, 13 articles describing Wii-related injuries were included reporting on 3 fractures, 6 nonosseous, 2 overuse injuries, and 2 rehabilitation programs using Wii for posttraumatic rehabilitation. Among the presented Wii-related injuries, only 12.5% were treated conservatively, whereas 87.5% underwent either surgical or interventional treatment. Because of the reported case, the literature search was limited to Wii-related injuries excluding other video games. Another limitation of this article lies in the fact that mainly case reports but no controlled trials exist on the topic. Assumingly, primarily the more severe injuries are reported in the literature with an unknown number of possibly minor injuries. Motion-controlled video games, such as Wii, are becoming increasingly popular as a recreational entertainment. Because of their wide acceptance and entertaining nature, they are also increasingly recognized as a tool in rehabilitation. However, although the activity is simulated, injuries are real. Our systematic review shows that Wii gaming can lead to severe injuries, sometimes with lasting limitations.

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Related in: MedlinePlus

Selection process for PubMed results on “Wii (trauma or injury or fracture).”
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Figure 2: Selection process for PubMed results on “Wii (trauma or injury or fracture).”

Mentions: Our search produced 766 results depending on the searched term (Table 1). Based on our traumatic case, we have systematically analyzed the 44 articles found by the search for “Wii (trauma or injury or fracture).” After exclusion of irrelevant articles, 13 articles remained (Figure 2). Among these, 3 describe a fracture, 6 an injury other than fracture, 2 an overuse, and 2 the rehabilitation potential of Wii in patients after injury (Table 2).


Simulated activity but real trauma: a systematic review on Nintendo Wii injuries based on a case report of an acute anterior cruciate ligament rupture.

Müller SA, Vavken P, Pagenstert G - Medicine (Baltimore) (2015)

Selection process for PubMed results on “Wii (trauma or injury or fracture).”
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4554002&req=5

Figure 2: Selection process for PubMed results on “Wii (trauma or injury or fracture).”
Mentions: Our search produced 766 results depending on the searched term (Table 1). Based on our traumatic case, we have systematically analyzed the 44 articles found by the search for “Wii (trauma or injury or fracture).” After exclusion of irrelevant articles, 13 articles remained (Figure 2). Among these, 3 describe a fracture, 6 an injury other than fracture, 2 an overuse, and 2 the rehabilitation potential of Wii in patients after injury (Table 2).

Bottom Line: The type and treatment of injury as well as the Wii-based rehabilitation programs found were analyzed.Additionally, a new case of an acute ACL tear-sustained playing, Wii boxing, is additionally presented.Motion-controlled video games, such as Wii, are becoming increasingly popular as a recreational entertainment.

View Article: PubMed Central - PubMed

Affiliation: From the Department of Orthopedic Surgery (SAM, PV, GP), University of Basel, Basel, Switzerland; and Division of Sports Medicine (PV), Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

ABSTRACT
Video gaming injuries are classically regarded as eccentric accidents and novelty diagnoses. A case of an anterior cruciate ligament (ACL) tear sustained during Wii boxing spurned us to review the literature for other Wii-related injuries and Wii-based posttraumatic rehabilitation. The English literature listed in PubMed was systematically reviewed by searching for "Wii (trauma or injury or fracture)." Full-text articles were included after duplicate, blinded review. The type and treatment of injury as well as the Wii-based rehabilitation programs found were analyzed. Additionally, a new case of an acute ACL tear-sustained playing, Wii boxing, is additionally presented. After exclusion of irrelevant articles, 13 articles describing Wii-related injuries were included reporting on 3 fractures, 6 nonosseous, 2 overuse injuries, and 2 rehabilitation programs using Wii for posttraumatic rehabilitation. Among the presented Wii-related injuries, only 12.5% were treated conservatively, whereas 87.5% underwent either surgical or interventional treatment. Because of the reported case, the literature search was limited to Wii-related injuries excluding other video games. Another limitation of this article lies in the fact that mainly case reports but no controlled trials exist on the topic. Assumingly, primarily the more severe injuries are reported in the literature with an unknown number of possibly minor injuries. Motion-controlled video games, such as Wii, are becoming increasingly popular as a recreational entertainment. Because of their wide acceptance and entertaining nature, they are also increasingly recognized as a tool in rehabilitation. However, although the activity is simulated, injuries are real. Our systematic review shows that Wii gaming can lead to severe injuries, sometimes with lasting limitations.

Show MeSH
Related in: MedlinePlus